Hormone Replacement Therapy:
New Risks You NEED
to Know
By Jason Cheng, DO
from the study performed by
National Institute of Health
WASHINGTON DC, July 9, 2002: Women’s Health
Initiative’s (WHI) study on Hormone-replacement
therapy (HRT), the largest single study every
conducted on this subject was prematurely terminated
due to disturbing results. |
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Hormone
replacement therapy INCREASES the chances of heart
disease, stroke, heart attack, blood clots and breast
cancer.
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The study found trends that suggest HRT
escalates the development or chances of a woman
contracting or exasperating several terminal and life
threatening disease.
WHI concluded that hormone
replacement therapy INCREASES the chances of heart disease,
stroke, heart attack, blood clots and breast cancer.
Six million women in
the United States are currently on HRT. HRT is a medically
supervised treatment using synthetic hormone cocktails to
alleviate menopausal and
perimenopausal symptoms. The most
common medications prescribed are Premarin (0.625 mg of
conjugated equine estrogen) alone or combined with Prempro
(progesterone 2.5 mg medroxyprogesterone acetate). These are
created from which are derivatives extracted from horses and
cattle, then manufactured by pharmaceutical companies.
Currently healthcare providers and patients are advised that
these synthetic hormones benefit patients by reducing
short-term symptoms including hot flashes, long term
complications of heart disease and sexual dysfunction. Until
July 2002, this therapy was seen to be low risk and beneficial
to most women. TOP
The study in question followed
16,608 women ages 50-79 years beginning in 1993-1995 all with
uteruses in tact. The study was to conclude in 2005. May 31,
2002 the group monitoring risks among the participants
convened after discovering drastic differences in rates of
various cancers and other risk factors between the study group
and the control group. Due to the documented instances of
complications, specifically the increase in breast cancer the
study was immediately terminated and a notice was sent to the
public at large.
TOP
What were the findings of the
study?
Specific study
findings for the estrogen plus progestin group compared to
placebo include:
-
200% increase in blood clots
to the lungs
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41% increase in strokes
-
37% increase in colorectal
cancer
-
29% increase in heart attacks
-
26% increase in invasive
breast cancer
-
22% increase in cardiovascular
disease
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Positive results from the
study showed
-
24% reduction in total
fractures
-
33% reduction in hip fracture
rates.
Investigators
determined the risks (cancer, heart disease, stroke) far
outweighed any benefits (lower instances of osteoporosis and
higher bone density) from combination hormone therapy.
TOP
Jacques
Rossouw M.D., acting director of the WHI stressed the
importance of understanding how the risk to an individual
woman can be low, but the risk to the population at large can
be great.
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"The WHI
results tell us that during 1 year, among 10,000
postmenopausal women with a uterus who are taking estrogen
plus progestin, 8 more will have invasive breast cancer, 7
more will have a heart attack, 8 more will have a stroke, and
18 more will have blood clots, including 8 with blood clots in
the lungs, than will a similar group of 10,000 women not
taking these hormones. This is a relatively small annual
increase in risk for an individual woman. Individual women who
have participated in the trial and women in the population who
have been on estrogen and progestin should not be unduly
alarmed. TOP
However,
even small individual risks over time, and on a
population-wide basis, add up to tens of thousands of these
serious adverse health events," explained Rossouw.
A second study focusing on
estrogen only is continuing. Most women are usually
placed in combination therapy because progestin is needed to
prevent endometrial cancer and other related estrogen-excess
dangers in women who bear an intact uterus.
According to Rossouw, the
adverse effects of estrogen plus progestin applied to all
women, irrespective of age, ethnicity or prior disease status.
WHI
PRESS RELEASE
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